Costs & Cost Controls

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March 2025
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Senate report: Private equity endangers patient care in underserved hospitals

Editor's Note A bipartisan Senate Budget Committee report accuses private equity firms of prioritizing profits over patients, compromising care in underserved communities, CBS News reported January 7. The investigation scrutinized the operations of Leonard Green & Partners and Apollo Global Management, alleging widespread financial mismanagement and underinvestment in hospitals they…

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By: Matt Danford
January 8, 2025
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Study: Esophagectomy outcomes worse at private equity hospitals

Editor's Note A study published in JAMA Surgery revealed that hospitals owned by private equity firms had significantly worse outcomes for esophagectomy patients compared to non-acquired hospitals. As detailed in a January 2 report on the findings in MedPage Today, the analysis of over 9,000 cases highlights disparities in 30-day…

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By: Matt Danford
January 7, 2025
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Report: Healthcare ransomware compromises millions of patient records, costs billions in downtime

Editor's Note Between 2018 and 2024, ransomware attacks on US healthcare organizations compromised nearly 89 million patient records and resulted in downtime costing an estimated total of $21.9 billion, according to a December 18 report from Comparitech. The report tallies 654 total ransomware incidents during this period targeting hospitals, clinics,…

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By: Matt Danford
January 3, 2025
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Proposed tariffs, stricter immigration policies threaten healthcare workforce, supply chain

Editor's Note Immigration and trade policies proposed by President-elect Donald Trump could exacerbate challenges with healthcare staff and medical supply chains, according to recent reporting from Modern Healthcare and The Hill. As detailed by Modern Healthcare, stricter immigration policies could impede efforts to recruit skilled international workers, exacerbating gaps in…

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By: Matt Danford
January 2, 2025
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Visual management supports perioperative Lean efforts

Takeaways • Visual management (VM) tools support Lean efforts, leading to improved quality and efficiency. • VM boards provide an overview of processes, facilitate problem solving, and promote staff-manager collaboration. • Other VM tools such as color coding and customized instrument trays can help reduce errors and save money. Lean…

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By: Cynthia Saver, MS, RN
January 1, 2025
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Implications of 2024 surgical care trends for the year ahead

Perioperative leaders are entering a time of uncertainty after 2024 proved to be transformative for inpatient and outpatient surgical care. Last year saw important updates from The Joint Commission and the Centers for Medicare & Medicaid Services (CMS) that emphasized improvements alongside ongoing challenges in safety, workforce shortages, reimbursement, and…

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By: Tarsilla Moura
January 1, 2025
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Exclusive articles preview OR Business Management Conference sessions

Editor's Note Although the term “value-based care” dates back nearly two decades, payer reimbursement models too often seem more like volume-based care. In a presentation at the upcoming OR Business Management Conference, scheduled February 10-12 at the Saddlebrook Resort in Tampa, Florida, economist Susanna Gallani, PhD, will delve into how…

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By: Matt Danford
December 19, 2024
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Simple procedure or ‘surgery’? Questionable medical billing practices cause confusion

Editor's Note Certain medical bills reclassifying minor procedures as “surgery” are driving up costs and causing confusion among patients, KFF Health News December 13 reports. Cases such as a $414 charge for a splinter removal with tweezers and a $469 charge for freezing a skin tag highlight how CPT codes…

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By: Tarsilla Moura
December 18, 2024
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Antitrust guideline withdrawal could dampen M&A, boost uncertainty for provider joint ventures

Editor's Note In a move that could hinder provider-led joint ventures and increase regulatory uncertainty, the Federal Trade Commission (FTC) and the Justice Department have withdrawn antitrust guidance issued in 2000. Modern Healthcare reported the news on December 16. Passed in a 3-2 vote, the decision eliminates previously relied-upon safe…

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By: Matt Danford
December 18, 2024
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Fitch Ratings: Hospital credit outlook improves amid stabilizing margins

Editor's Note The credit outlook for the nonprofit hospital sector improved from “deteriorating” to “neutral” in Fitch Ratings’ 2025 report, the first revision in more than 2 years. Healthcare Dive reported the news December 11.  According to the outlet, Fitch attributes the shift to “steady improvement” in hospital operating margins,…

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By: Matt Danford
December 17, 2024
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